| Jessica D Shadburne, CRNA | |
|
3920 Dutchmans Ln, Louisville, KY 40207-4702 | |
| (502) 259-6710 | |
| (502) 259-6704 |
| Full Name | Jessica D Shadburne |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3920 Dutchmans Ln, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336136365 | NPI | - | NPPES |
| CH6488 | Other | KY | RR MEDICARE GROUP NUMBER |
| 1134761 | Other | KY | PASSPORT |
| 74441502 | Medicaid | KY | |
| 201208770 | Medicaid | IN | |
| 2437849000 | Other | KY | PASSPORT ADVANTAGE |
| 000000245148 | Other | KY | BLUE SHIELD |
| 430063052 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1094943 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3003303 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica D Shadburne, CRNA Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | Jessica D Shadburne, CRNA 3920 Dutchmans Ln, Louisville, KY 40207-4702 Ph: (502) 259-6710 |
Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001 | |
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000 | |
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 | |
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 | |
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202 | |
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056 | |
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 |